How    TO    KEEP 

A  — 

CASH    INCOME    RECORD 

TO 

Facilitate  The  Making  Up 
Income  Tax  Reports  by   individuals 


PUBLISHED     BY 

NATIONAL  Tax   Book  Company 

64    DEY    STREET 
NEW  YORK 


COPYRIGHT.    1913    BY 

C.    Aubrey   Nicklas 

CERTIFIED    PUBLIC    ACCOUNTANT 
NEW  YORK 


^^^^^ 


^^f 


fl 


How  TO   Keep  a  Cash  Income  Record  BbOK. 

EXPLANATORY    REMARKS. 

Keep  this  book  the  same  as  you  would  any  cash  book  or  your  check-book— entering  receipts  on  one  side  and  disburse- 
ments on  the  other. 

Its  use  should  require  no  explanation,  the  columnar  headings  being  simple  and  general  in  character  but  sufficiently  spe- 
cific to  comply  with  the  United  States  Treasury  Regulations  covering  the  Income  Tax  Law  as  applied  to  individuals. 

Have  entries  made  from  your  check-book  REGULARLY,  keep  the  analysis  UP  TO  DATE,  and  you  will  at  all  times  be 
in  a  position  to  readily  make  up  a  proper  report  to  the  Government  and  benefit  by  the  ALLOWABLE  DEDUCTIONS  AND 
EXEMPTIONS,  thus  precluding  the  possibility  of  being  taxed  for  an  amount  in  excess  of  that  for  which  you  are  legally  liable. 

Wherever  possible,  columns  have  been  numbered  in  accordance  with  numbers  assigned  to  similar  items  in  specimens 
of  reports  issued  by  the  Treasury  Department,  as  annual  reports  will  doubtless  be  made  up  in  like  form  by  the  Government 
and  items  similarly  numbered. 

The  Government  requires  the  report  on  your  GROSS  INCOME.  Therefore,  in  making  entries  on  the  "Receipts"  side 
of  this  book — 


Show  the  NET  AMOUNT  that  you  receive  in  the  first  column; 

Show  the  amount  of  tax,  if  any,   which  was  "deducted  at  the  source"  in  the  second  column; 

Show  the  total  of  the  first  two  columns  in  the  third  column,  which  is  headed  "Gross  Amount  of 


Income." 


Entries  in  the  third  column  should  then  be  distributed  as  to  "Income  which  has  been  taxed  at  the  source"  or  "Income 
which  is  exempt."  In  case  no  tax  has  been  "deducted  at  the  source"  the  amounts  shown  in  the  first  and  third  columns  will  be 
identical,  and  will  be  posted  as  "Income  not  taxed  at  source"  or  "Income  Exempt." 

SHEET    SHOWING    METHOD    OF    MAKING    ENTRIES 

RECEIPTS. 


OOfiU  /«  n 


.•■.\:;c't;'jV; *..,'..'  Specimen  Form  of  annual  Report 

ON 

INCOME     TAX     AS     APPLIED     TO     INDIVIDUALS 
United  States  Internal  Revenue 

I  hereby  solemnly  declare  that  the  following  is  a  true  and  correct  return  of  my  gains,  profits,  and  income  from  all  other 
sources  for  the  calendar  year  ended  December  31,  191..  (from  March  1  to  December  31  for  the  year  1913),  and  a  true  and 
correct  return  of  deductions  asked  for  under  paragraph  JB  of  section  2  of  the  Act  of  October  3,  1913,  and  I  hereby  claim 
deductions  as  shown  below: 

Amount  of  gains,  profits,  interest,  rents,  royalties,  profits  from  co-partnerships,  and  income  from  all  other  sources 

whatsoever,  $ 

DEDUCTIONS. 

1.  The  amount  of  necessary  expenses  actually  paid  in  carrying  on  business,  except  business  expenses 

of  partnerships,  and  not  including  personal,  living  or  family  expenses,  $ 

2.  All  interest  paid  within  the  year  on  personal  indebtedness  of  taxpayer,  $ 

3.  All  national,  state,  county,  school,  and  municipal  taxes  paid  within  the  year  (not  including  those 

assessed  against  local  benefits),  $ 

4.  Losses  actually  sustained  during  the  year  incurred  in  trade  or  arising  from  fires,  storms,  or  ship- 

wreck, and  not  compensated  for  by  insurance  or  otherwise,  $ 

5.  Debts  due,  which  have  been  actually  ascertained  to  be  worthlless,  and  charged  off  within  the  year,  $ 

6.  Arnount  representing  a  reasonable  allowance  for  the  exhaustion,  wear  and  tear  of  property  aris- 

ing out  of  its  use  or  employment  in  the  business,  not  to  exceed  in  the  case  of  mines  5  per 
cent,  of  the  gross  value  of  the  output  for  the  year  for  which  the  computation  is  made,  but  not 
including  the  expense  of  restoring  property  or  making  good  the  exhaustion  thereof,  for  which 
an  allowance  is  or  has  been  made.  $ 

7.  The  amount  received  as  dividends  upon  the  stock  or  from  the  net  earnings  of  any  corporation, 

joint-stock  company,  association,  or  insurance  company  which  is  taxable  upon  its  net  income,  $ 

8.  The  amount  of  income,  the  tax  upon  which  has  been  paid  or  withheld  for  payment  at  the  source 

or  income,  •  $ , 

TOTAL  DEDUCTIONS,  $ 

TAXABLE  NET  INCOME  (for  Normal  Tax),  -     -     .  ^ 

Date 191 

(Signed) 

(Address) 

Note.— Money  or  other  things  of  value,  disposed  of  by  gift,  donation,  or  endowment,  shall  not  be  deducted  or  be  made 
the  basis  for  a  deduction  from  the  income  of  persons  or  corporations  in  their  tax  returns  under  the  Income  Tax  Law. 


Brief  Digest  of  Federal  Income 
Tax  Law. 

To  be  used  only  in  connection  with  fall  text  of  the  law. 

Tax  Year 

In  1913:    March  1st  to  December  31st. 

In  other  years :    January  1st  to  December  31st. 

Returns  to  Be  Filed 

Annually,  on  or  before  March  1st. 
Tax  Payable 
Annually,  June  1st  to  June  30th.     Penalty  thereafter. 
Who  Must  Pay  Tax 

1.  United  States  citizens:  (a)  residing  at  home,  and 
(b)  residing  abroad. 

2.  Residents  in  the  United  States,  though  they  are  not 
citizens. 

3.  Persons  residing  elsewhere,  enjoying  income  from 
property  owned  or  business  carried  on  in  the  United  States. 

Rates  of  Tax 

Two  kinds :     Normal  Tax  and  Additional  Tax. 
Tax   Graduated  According  to   Income 

On   Net  Income  Normal  Additional 

Between  Tax  is  Tax  is 
$     3,000.01 

or         and     $  20,000  1%  0 

4,000.01 

$  30,000.01     and     $  50,000  1%  1% 

50,000.01     and         75,000  1%  2% 

75,000.01     and       100,000  1%  3% 

100,000.01     and       250,000  1%  '         4% 

250,000.01     and       500,000  1%  5% 

500,000.01     upwards  1%  6% 

Definition  of  "Net  Income" 

Gains,  profits  and  income  derived  from  salaries,  wages, 
or  compensation  for  services  of  all  sorts,  professions,  voca- 
tions, businesses,  trade  or  commerce,  sales  or  dealings  in  prop- 
erty growing  out  of  the  use  or  ownership  thereof,  interest, 
rent,  dividends,  (but  not  for  normal  tax),  securities,  transac- 
tion of  business  for  gain,  and  income  from  any  source  what- 
ever. 


Gifts,  Bequests  and  Insurance  Money 

The  income  but  not  the  principal  of  property  acquired  by 
gift,  bequest,  devise  or  descent  is  taxable.  Life  insurance 
money,  whether  lump  sum  or  annuity,  is  not  taxable,  but  the 
income  thereon  undoubtedly  is. 

Deductions,   Normal  Tax 

For  the  purpose  of  the  normal  tax,  the  following  may  be 
deducted  from  the  total  income  ascertained  as  above:  (1)  bus- 
iness expenses,  but  not  living  or, family  expenses;  (2)  inter- 
est paid  on  indebtedness;  (3)  taxes,  except  local  benefit  as- 
sessments; (4)  trade  losses  and  losses  by  fire,  storm  or  ship- 
wreck, not  compensated  by  insurance;  (5)  worthless  debts 
charged  off;  (6)  an  allowance  for  exhaustion  or  depreciation, 
figured  as  prescribed  in  the  Act;  (7)  dividends  from  corpo- 
rations; (8)  such  amount  of  income  as  has  been  "taxed  at  the 
source." 

Vicarious  Returns 

Returns  to  the  Collector  of  Internal  Revenue  have  to  be 
made  by  trustees  and  other  fiduciaries  on  behalf  of  the  person 
to  whom  they  pay  income.  No  return  is  necessary  on  net  in- 
comes of  less  than  $3,000. 

Income  Exempt 

The  following  income  is  exempt  from  "Normal  Tax,"  and 
should  be  shown  in  the  column  headed  "Exempt  from  Normal 
Tax" : 

Dividends  on  stock  of  Domkstic  Corporations. 

The  following  income  is  exempt  from  All  Taxes  Under 
This  Law  and  should  be  shown  in  the  column  headed  "Ex- 
empt from  All  Taxes" : 

(1)  Legacies,  Bequests,  Gifts. 

(2)  Life  Insurance. 

(3)  Interest  on  United  States,  State  and  Municipal 
Bonds. 

(4)     Salary  as  Officer  or  Employee  of  State  or  City. 

(5)  Receipts  covering  repayment  of  loans  or  notes,  and 
similar  items  not  representing  gains  or  profits  to  you. 

(6)  $3,000  of  income,  $1,000  additional  when  married 
couple  live  together. 

1913 

Only  five-sixths  of  exemptions  and  deductions  are  allowed 
for  the  income  from  March  1st  to  December  31st,  1913. 


Specimen  Sheets  Follow 


RECEIPTS. 


PARTI  CU  L.  A  RS 


AMOUNT 


AMOUNT 
OF  TAX 


GROSS 


ANALYSIS  OF  GROSS  INCOME  TO  COMPLY 
WITH  U.S.  TREASURY  REGULATIONS 


°*^^                   ^    ._       _       _,,    . „    .„^  „^„^„,..„                     „^^^,>,^„             i;     DEDUCTED 

AMOUNT  OF                  INCOME                     INCOME 

Income 

Exempt 

Ij    AT  SOURCE 

INCOME                  at'^sI^JrCE 
,         1         ,       « 

AT  SOURCE 

FROM    NORMAL 
T     TAXES 

FROM    ALL 
TAXES 

i 

. 

DISBURSEIMENTS. 


CHECK 

NO. 

PARTICULARS 

ANALYSIS   OF    DISBURSEMENTS   TO   COMPLY   WITH 
U.S.    TREASURY    REGULATIONS 

S=- 

DATE 

(!        Amount 
show  to  whom  disbursements  are  made 

BUSINESS 
EXPENSES 

X 

INTEREST                    TAXES                         LOSSES 

,,                                     ,,     SUSTAINED 

«            i            8            1            4 

REPAIRS 

OTHER 
ITEMS 



' 

n 

. 

RECEIPTS. 


PARTICU  LARS 

SHOW  SOURCE  FROM  WHICH   FUNDS  ARE  RECEIVED 

AMOUNT 

AMOUNT 

GROSS 

ANALYSIS  OF  GROSS  INCOME  TO  COMPLY 

WITH   U.S.  TREASURY  REGULATIONS 

» 

DATE 

RECEIVED 

OF  TAX 
DEDUCTED 
AT  SOURCE 

AMOUNT  OF 

INCOME                     INCOME 

Income  Exempt 

INCOME           i 

\ 

AT  SOURCE 

8 

AT  SOURCE 

FROM    NORMAL            FROM    ALL 
7     TAXES                        TAXES 

' 

11 

1 

^  ' 

^ 

' 

' 

i 

1 

i 
1 

1 
1 

DISBURSEMENTS 

- 

DATE 

CHECK 
NO. 

PARTICULARS 

ANALYSIS   OF    DISBURSEMENTS   TO    COMPLY    WITH 
U.S.   TREASURY    REGULATIONS 

SHOW  TO  WHOM    DISBURSEMENTS  ARE   MADE 

Amount 

BUSINESS 
EXPENSES    J 

1 

INTEREST 

8 

TAXES           ll           LOSSES        ;l 

;:     SUSTAINED               REPAIRS                    ^^^^^ 
8                                   4                                                                     ITEMS 

\ 

RECEIPTS. 


PARTICULARS 


SHOW  SOURCE  FROM  WHICH   FUNDS  ARE  RECEIVED 


RECEIVED 


AMOUNT 

OF  TAX 

DEDUCTED 

AT  SOURCE 


GROSS 

AMOUNT  OF 

INCOME 


ANALYSIS  OF  GROSS  INCOME  TO  COMPLY 
WITH  U.S.  TREASURY  REGULATIONS 


^ 


INCOME 

TAXED 

AT  SOURCE 

8 


INCOME 
NOT  TAXED 
AT  SOURCE 


Income  Exempt 


FROM  NORMAL     FROM  ALL 
T  TAXES  TAXES 


i 


DISBURSEMEN  1  S 

- 

DATE 

CHECK 

No. 

PARTICULARS 

ANALYSIS   OF   DISBURSEMENTS   TO    COMPLY   WITH 
U.S.    TREASURY    REGULATIONS 

SHOW  TO  WHOM    DISBURSEMENTS  ARE   MADE 

Amount 

BUSINESS                 INTEREST                  TAXES 
EXPENSES                                             „ 

»           1            3 

LOSSES 
SUSTAINED 

4, 

REPAIRS 

OTHER 
ITEMS 

• 

« 

1    '  = 

RECEIPTS. 


s 

PARTIC  U  L  ARS 

AMOUNT 

AMOUNT 

OF  TAX 

DEDUCTED 

AT  SOURCE 

GROSS 

ANALYSIS  OF  GROSS  INCOME  TO  COMPLY 
WITH  U.S.  TREASURY  REGULATIONS 

DATE 

RECEIVED 

AMOUNT  OF 
INCOME 

INCOME        il           INCOME 
TAXED          "       NOT  TAXED 
AT  SOURCE            ATSOURCE 
8 

Income  Exempt 

FROM    NORMAL            FROM   ALL 
T     TAXES                        TAXES 

t 

i 

1 

; 

) 

! 

i 

- 

DISBURS 

EME 

:^ 

sJTS 

- 

DATE 

CHECK 
No. 

PARTICULARS 

SHOW  TO  WHOM    DISBURSEMENTS  ARE   MADE 

Amount 

ANALYSIS   OF   DISBURSEMENTS   TO    COMPLY   WITH 
U.S.    TREASURY    REGULATIONS 

BUSINESS 

EXPENSES 

1 

INTEREST 

TAXES 

8 

LOSSES 
SUSTAINED 

4 

REPAIRS 

OTHER 
ITEMS 

< 

LJ 

1 

= 

1 

RECEIPTS. 


DATE 


PARTICULARS  II  AMOUNT 

SHOW  SOURCE  FROM  WHICH   FUNDS  ARE  RECEIVED  RECEIVED 


AMOUNT 

OF  TAX 

DEDUCTED 

AT  SOURCE 


AMOUNT  OF 
INCOME 


ANALYSIS  OF  GROSS  INCOME  TO  COMPLY 
WITH  U.S.  TREASURY  REGULATIONS 


INCOME 

TAXED 

AT  SOURCE 


INCOME 
NOT  TAXED 
AT  SOURCE 


INCOME  Exempt 


FROM    NORMAL 
T     TAXES 


FROM   ALL 
TAXES 


DISBURS 

EME 

Ih 

«J  1  s 

DATE 

CHECK 

No. 

1 

PARTICULARS                            || 

ANALYSIS   OF   DISBURSEMENTS  TO   COMPLY   WITH 
U.  S.  TREASURY    REGULATIONS 

SHOW  TO  WHOM    DISBURSEMENTS  ARE   MADE      , 

Amount 

BUSINESS 
EXPENSES 

1 

INTEREST 

TAXES 

8 

LOSSES 
SUSTAINED 

4, 

REPAIR 

S 

OTHER 
ITEMS 

1 

j 

i 

■v 

■ 

RECEIPTS. 


DATE 


PARTI  CU  L  ARS 

SHOW  SOURCE  FROM  WHICH   FUNDS  ARE  RECEIVED 


AMOUNT 
RECEIVED 


AMOUNT 

OF  TAX 

DEDUCTED 

AT  SOURCE 


ANALYSIS  OF  GROSS  INCOME  TO  COMPLY 
WITH  U.S.  TREASURY  REGULATIONS 


INCOME 

TAXED 

AT  SOURCE 


INCOME 
NOT  TAXED 
AT  SOURCE 


Income  Exempt 


FROM    NORMAL 
T     TAXBS       ll 


FROM    ALL 
TAXES 


DISBURSEMENTS. 


CHECK 
NO. 

PARTICULARS 

T 

■ 

ANALYSIS   OF    DISBURSEMENTS   TO   COMPLY   WITH 
U.S.   TREASURY    REGULATIONS 

DATE 

SHOW  TO  WHOM    DISBURSEMENTS  ARE   MADE 

Amount 

BUSINESS 

EXPENSES 

1 

INTEREST 

TAXES 
3 

LOSSES                                              I 
SUSTAINED               REPAIRS                    OTHER 
4,                                                           ;'               ITEMS 

11                                        11 

i 

• 

] 

1 

1 

RECEIPTS. 


PARTICULARS 

AMOUNT 

■|! |f 

AMOUNT 

"          ANALYSIS  OF  GROSS  INCOME  TO  COMPLY 
GROSS                              WITH  U.S.  TREASURY  REGULATIONS 

OA.TE                   ^                                                                        _^„      „^„. ii            „^^^,„^„              :     DEDUCTED 

AMOUNT  OF 

INCOME                     INCOME 

Income  Exempt 

1 

1 

AT  SOURCE 

INCOME                  AT  SOURCE            AT  SOURCE 

FROM    NORMAL            FROM    ALL 
j            T     TAXES                       TAXES 

1 
1 

i 

« 

1 

1 

i 
1 

1 

DISBURSEMENTS. 


CHECK 
NO. 

PARTICULARS 

SHOW  TO  WHOM    DISBURSEMENTS  ARE  MADE 

ANALYSIS   OF    DISBURSEMENTS   TO   COMPLY   WITH 
U.  S.   TREASURY    REGULATIONS 

DATE 

Amount 

BUSINESS 
EXPENSES 

1 

INTEREST      1            TAXES 

a                   3 

1                     1 

,,                     II 

LOSSES                                               1 
SUSTAINED               REPAIRS                    OTHER 
4,                                                                     ITEMS 

i;                        II 

! 

i 
1 

/ 

i 

\ 

1 

RECEIPTS. 


DATE 


PARTICU  LARS 

SHOW  SOURCE  FROM  WHICH   FUNDS   ARE  RECEIVED 


AMOUNT 

RECEIVED 


nr 


AMOUNT 

OF  TAX 

DEDUCTED 

AT  SOURCE 


GROSS 


AMOUNT  OF 
INCOME 


ANALYSIS  OF  GROSS  INCOME  TO  COMPLY 
WITH  U.S.  TREASURY  REGULATIONS 


INCOME 

TAXED 

AT  SOURCE 


INCOME 
NOT  TAXED 
AT  SOURCE 


Income  Exempt 


FROM  NORMAL 
T  TAXES   „ 


FROM  ALL 
TAXES 


DISBURSEMENTS. 


CHECK 
No. 

PARTICULARS 

SHOW  TO  WHOM    DISBURSEMENTS  ARE   MADE 

ANALYSIS   OF    DISBURSEMENTS   TO    COMPLY   WITH                                    1 
U.S.   TREASURY    REGULATIONS                                                          | 

DATE 

Amount 

BUSINESS 

EXPENSES 

1 

INTEREST 

a 

TAXES          li           LOSSES 

SUSTAINED 
3                            4 

li 

REPAIRS                    OTHER 
REPAIRS                     i^^i^g 

t 

• 

i 

1 

9 

I 

1 

^ 

I 

1 

• 

1 

RECEIPTS. 


PARTICUU  ARS 

SHOW  SOURCE  FROM  WHICH  FUNDS  ARE  RECEIVED 

AMOUNT 

AMOUNT 

OF  TAX 

DEDUCTED 

AT  SOURCE 

GROSS 

ANALYSIS  OF  GROSS  INCOME  TO  COMPLY          11 
WITH  U.S.  TREASURY  REGULATIONS                 |{ 

DATE 

RECEIVED 

AMOUNT  OF        j         INCOME         il           INCOME         ' 
luroMir              '           TAXED                   NOT  TAXED 
INmME:              ■     AT  SOURCE            AT  SOURCE 

1             8             „ 

Income  Exempt 

FROM    NORMAL            FROM   ALL 
T     TAXES       II             TAXES 

1 

1 

DISBURSEMEN  1  S 

- 

, 

■^ 

DATE 

'                            PARTICU  LARS 

CHECK 

Amount 

ANALYSIS    OF    DISBURSEMENTS    TO    COMPLY    WITH 
U.S.   TREASURY    REGULATIONS 

No. 

SHOW  TO  WHOM    DISBURSEMENTS  ARE  MADE 

BUSINESS      ''         INTEREST                  TAXES 
EXPENSES 

^                 li                   «                li                 « 

LOSSES 
SUSTAINED 

1                 ^ 

REPAIRS 

1 

OTHER 
j             ITEMS 

~ 

1 

- 

RECEIPTS. 


DATE 


4  * 

PARTIC  U  L  ARS 
SHOW  SOURCE  FROM  WHICH    FUNDS  ARE  RECEIVED 


AMOUNT 
RECEIVED 


AMOUNT 

OF  TAX 

DEDUCTED 

AT  SOURCE 


GROSS 

AMOUNT  OF 

INCOME 


ANALYSIS  OF  GROSS  INCOME  TO  COMPLY 
WITH  U.S.  TREASURY  REGULATIONS 


INCOME 

TAXED 

AT  SOURCE 

8 


INCOME 
NOT  TAXED 
AT  SOURCE 


Income  Exempt 


FROM  NORMAL 
7  TAXES 


FROM  ALL 
TAXIS 


i 


DISBURSEMENTS. 


1     1 

CHECK 
NO. 

1 "       — 1 

PARTICULARS 

1                                   ^ 

ANALYSIS   OF    DISBURSEMENTS   TO    COMPLY   WITH 
U.S.   TREASURY    REGULATIONS 

DATE 

SHOW  TO  WHOM    DISBURSEMENTS  ARE   MADE 

Amount 

BUSINESS 

EXPENSES 

1 

INTEREST                  TAXES 

3     i:      3 
1            i< 

LOSSES 

SUSTAINED 

4, 

- 

i 

RECEIPTS. 


DATE 


PARTICU  LARS 

SHOW  SOURCE  FROM  WHICH   FUNDS  ARE  RECEIVED 


RECEIVED 


AMOUNT 

OF  TAX 
DEDUCTED 
AT  SOURCE 


GROSS 

AMOUNT  OF 

INCOME 


ANALYSIS  OF  GROSS  INCOME  TO  COMPLY 
WITH  U.S.  TREASURY  REGULATIONS 


INCOME 

TAXED 

AT  SOURCE 

s 


INCOME 
NOT  TAXED 
AT  SOURCE 


Income  Exempt 


FROM    NORMAL 
T     TAXES        ,, 


FROM    ALL 
TAXES 


DISBURSEMEN  1  S 

- 

1 

PARTICULARS 

ANALYSIS   OF    DISBURSEMENTS   TO    COMPLY    WITH 
U.S.   TREASURY    REGULATIONS 

DATE 

""■              SHOW  TO  WHOM    DISBURSEMENTS  ARE   MADE 

Amount 

BUSINESS       1         INTEREST      '|           TAXES           ''          LOSSES         U                                     l| 
EXPENSES                                                                                         SUSTAINED      '         repairs;                   OTHER 

1                   ,                   a                n                 3                 :                  4                 .         REPAIRS                     ^^^^^ 

i                         ii                         II                         II                         ii 

1 

i 

/ 

• 

1 

RECEIPTS. 


DATE 


PARTI  CUL  ARS 
SHOW  SOURCE  FROM  WHICH   FUNDS  ARE  RECEIVED 


RECEIVED 


AMOUNT 

OF  TAX 

DEDUCTED 

AT  SOURCE 


GROSS 

AMOUNT  OF 

INCOME 


ANALYSIS  OF  GROSS  INCOME  TO  COMPLY 
WITH  U.S.  TREASURY  REGULATIONS 


INCOME 
TAXED 
AT  SOURCE 
8 


INCOME 
NOT  TAXED 
AT  SOURCE 


Income  Exempt 


FROM  NORMAL 
T  TAXES 


FROM  ALL 
TAXES 


DISBURSEMEN  IS 

- 

PARTICULARS                               1 

ANALYSIS    OF    DISBURSEMENTS   TO    COMPLY    WITH 
U.S.   TREASURY    REGULATIONS 

DATE 

No. 

SHOW  TO  WHOM    DISBURSEMENTS  ARE   MADE 

Amount 

BUSINESS 
EXPENSES 

1 

INTEREST 
1                   ^ 

TAXES           l|          LOSSES 

SUSTAINED 
3                            4 

1 

REPAIRS 

OTHER 
ITEMS 

- 

u... 

k    1 

^K'  : 

RECEIPTS. 


■ 

PARTICULARS 

AMOUNT 

-^1 

AMOUNT 

GROSS 

^ 

ANALYSIS  OF  GROSS  INCOME  TO  COMPLY 
WITH   U.S.  TREASURY  REGULATIONS 

DATE 

RECEIVED 

DEDUCTED 
AT  SOURCE 

AMOUNT  OF 

INCOME                     INCOME 

Income  Exempt 

SHOW  SOURCE  FROM  WHICH  FUNDS  ARE:  RE.CE.lVtLI 

INCOMt                  AT  SOURCE            AT  SOURCE 

FROM    NORMAL            FROM    ALL 
T     TAXES                        TAXES 

i 

j 

1 

1 
1                             [ 

i 

i 

1 

i; 

• 

!     ! 

1    ! 

1 

1 

• 

1 

1 

■ 

i 

I 
1 

1     1 

1 

1 

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FROM    NORMAL 
T     TAXES 

FROM    ALL 
TAXES 

1 

J 

i 

1 

i 
j 

1 
1 

1 

1 

1 

1 
1 

1 

DISBURSEMENTS. 


DATE 


- 


PARTICULARS 


SHOW  TO  WHOM    DISBURSEMENTS  ARE  MADE 


Amount 


ANALYSIS   OF    DISBURSEMENTS  TO   COMPLY    WITH 
U.S.   TREASURY    REGULATIONS 


BUSINESS 
EXPENSES 

1 


INTEREST  TAXES 


LOSSES 

SUSTAINED 

4, 


OTHER 
ITEMS 


RECEIPTS. 


PARTICULARS 

AMOUNT 

AMOUNT 

GROSS 

f 

ANALYSIS  OF  GROSS  INCOME  TO  COMPLY 
WITH  U.S.  TREASURY  REGULATIONS 

DATE 

OF  TAX 
DEDUCTED 
AT  SOURCE 

AMOUNT  OF 
INCOME 

INCOME                   INCOME 
TAXED                   NOT  TAXED 
AT  SOURCE     .       AT  SOURCE 

«                  1                                        1 

Income  Exempt 

SHOW  SOURCE  FROM  WHICH   FUNDS   ARE  RECEIVED        ;            Rtt^tivtu 

FROM    NORMAL  1;         FROM    ALL 
T     TAXES        1             TAXES 

j 

i 

i 
i 

' 

' 

1 
1 

1 

— 

-          - 

-      ■ 

1 

i 

" 

i 
i 

1 
1 

DISBURSEMENTS. 


DATE 


PARTICULARS 

SHOW  TO  WHOM    DISBURSEMENTS  ARE  MADE 


^ 


ANALYSIS   OF    DISBURSEMENTS  TO   COMPLY   WITH 
U.  S.   TREASURY    REGULATIONS 


Amount 


BUSINESS 

EXPENSES 

1 


INTEREST  TAXES 


a 


LOSSES 

SUSTAINED 

-1 


OTHER 
ITEMS 


RECEIPTS. 


DATE 

PARTICU  LARS 

AMOUNT 

AMOUNT 

GROSS 



ANALYSIS  OF  GROSS  INCOME  TO  COMPLY 
WITH  U.S.  TREASURY  REGULATIONS 

OF  TAX 

DEDUCTED 
AT  SOURCE 

AMOUNT  OF 
INCOME 

.       , 

INCOME                     INCOME 
TAXED                   NOT  TAXED 
AT  SOURCE            AT  SOURCE 

8               il 

INCOME  Exempt 

SHOW  SOURCE  FROM  WHICH   FUNDS   ARE  RECEIVED        '             RECEIVED 

FROM    NORMAL            FROM    ALL 
T     TAXES        ^              TAXES 

1 

i 

! 

i 

1 

1 

; 
I 

- 
< 

1 

..  ^-■'  *'  ' 

■^     .       -i    ^ 

1 

1 
1 

. 

LI 

DISBURSEMEN  1  S 

- 

PARTICULARS 

Amount 

ANALYSIS   OF    DISBURSEMENTS   TO    COMPLY   WITH                                    | 
U.S.   TREASURY    REGULATIONS                                                           | 

DATE 

NO. 

SHOW  TO  WHOM    DISBURSEMENTS  ARE   MADE 

BUSINESS                INTEREST                  TAXES                      LOSSES 
EXPENSES                                                                                         SUSTAINED 

1 
i 

REPAIRS                    O'^^^'' 
ITEMS 

II 

i 

■ 

1 

• 

1 

• 

RBCBIPTS. 


DATE 

PA  RTI  CU  L  A  RS 
SHOW  SOURCE  FROM  WHICH   FUNDS   ARE  RECEIVED 

AMOUNT 

GROSS 

1 

1 

ANALYSIS  OF  GROSS  INCOME  TO  COMPLY 
WITH  U.S.  TREASURY  REGULATIONS 

RECEIVED 

1 

OF  TAX 
DEDUCTED 
AT  SOURCE 

AMOUNT  OF 
INCOME 

INCOME         1            INCOME         |                INCOME  EXEMPT 

AT   SOURCE              AT  SOURCE             FROM    NORMAL            FROM    ALL 
8                     ,i                                              il            '^     TAXES        'i              TAXES 

1 

i 
1 

1 
) 

1 

. 

i 

DISBURSEMENTS. 


DATE 


CHECK 
No. 


PARTICULARS 

SHOW  TO  WHOM    DISBURSEMENTS  ARE  MADE 


ANALYSIS   OF    DISBURSEMENTS   TO    COMPLY   WITH 
U.S.   TREASURY    REGULATIONS 


Amount 


BUSINESS 
EXPENSES 


INTEREST 


LOSSES 

SUSTAINED 

4 


OTHER 
ITEMS 


RECEIPTS. 


PARTirill      AR<; 

AMOUNT 

AMOUNT 

GROSS 

ANALYSIS  OF  GROSS  INCOME  TO  COMPLY 
WITH  U.S.  TREASURY  REGULATIONS 

DATE                                                                                                                            1 

RECEIVED 

DEDUCTED 
AT  SOURCE 

1 

AMOUNT  OF 
INCOME 

INCOME         11           INCOME 
TAXED           II       NOT  TAXED 
AT  SOURCE      ;       AT  SOURCE 

H               .1 

Income  Exempt 

SHOW  SOURCE  FROM  WHICH   FUNDS   ARE  RECEIVED       1 

FROM    NORMAL^          FROM    ALL 
I             T     TAXES        [l               TAXES 

1 

• 

1 

T 

1 

1 

1 
#1 

I 

1 

1 

DISBURSEMENTS. 


DATE 


CHECK 


PARTICULARS 


SHOW  TO  WHOM    DISBURSEMENTS  ARE  MADE 


ANALYSIS   OF    DISBURSEMENTS   TO    COMPLY    WITH 
U.S.   TREASURY    REGULATIONS 


Amount 


BUSINESS  INTEREST 

EXPENSES 

1  a 


TAXES 

8 


LOSSES  11 

SUSTAINED  REPAIRS  °'^"^'' 

4  ITEMS 


UNIVERSITY  OF  CALIFORNIA  LIBRARY, 
BERKELEY 

THIS  BOOK  IS  DUE  ON  THE  LAST  DATE 
STAMPED  BELOW 

Books  not  returned  on  time  are  -^ie^V^.^^^^Ji^J 
50c  per  volume  after  the  third  day  »«""b'„„i,,  „„»  ;„ 
'a"e.*a^nTra;  ^r^^q  ^aX^o  J  is  .ade  before 
expiration  of  loan  period. 


II 


t  C  14  1927 


r.PH 


recd  ld 
AUG  17  I960 


50m-8,'26 


7^ 


J 


YF  n?6C9 


